نشریه مدیریت ارتقای سلامت
سال هفتم شماره 5 (پیاپی 33، مهر و آبان 1397)

Seizure is a neurological disorder in children. Children have experienced seizures at least once in the first 16 years of life. The aim of this study is to determine some risk factors of recurrent times to childhood seizures using Parametric Copula Marginal Model applying Bayesian Approach. In this descriptive-longitudinal study, data from a case filed in 300 children who were admitted in four hospitals between 2014 and 2016 due to recurrence of seizure disease were collected. The seizure times of children were recorded after each visit to these centers and the time intervals between seizure recurrence events were calculated. For modeling of time to recurrent seizures in children, the joint distribution of the Parametric Copula Marginal Model applying Bayesian Approach was fitted to the data and analyzed by Bayesian approach. WinBugs and R versions 3.4.1 were used for data analysis. 15.0% of the children had seizure and 64.3% of these children were hospitalized at least once due to seizure recurrence. 25.0% of the mothers of these children had a hard labor. The result of the electrolytic test was 40% normal. 27.0% had a family history of seizure and 78.4% of the children had normal evolutionary status. The 95% confidence interval for the dependency parameter (detailed parameter) was estimated with the parametric marginal risk of the Weibull-Clayton equation (0.434, 0.227). There was a significant relationship between the history of hospitalization and drug use. There was a correlation between the recurrence events of children with seizure. It is suggested that doctors consider the clinical steps, drug use factors, and hospitalization history, which are among the factors associated with frequent recurrence of seizure in children.

Kidney transplantation is the most effective treatment of end-stage renal disease and its graft survival is an important challenge. The biomarker level of creatinine can be a predictor of transplant rejection time. The aim of this study is to determine the correlation of creatinine and other factors with the survival of kidney transplantation through of joint longitudinal and survival Model.

A descriptive-correlational study was performed on 165 recipients of kidney transplantation over 18 years of age during the years 2006 to 2016. The related data were collected from patients’ files in hospitals and nephrology clinics. Creatinine during the postoperative period and time interval between surgery to rejection was introduced into the model as longitudinal and survival outcomes, respectively. The model was fitted in R statistical software.

There was a positive and significant correlation between creatinine level and risk of rejection (P-value < 0.05, α = 0.7). For a unit of increase in creatinine, the risk of rejection is approximately doubled. Factors associated with creatinine increase include receiving a brain dead donor member, having any blood transfusion records, kidney transplantation, and dialysis prior to transplantation (P-value < 0.05). The risk of transplant rejection for recipients of kidney transplants from brain death donors is about 2.7 times more than live donors (P-value < 0.05).

Reducing creatinine levels and transplanting live donors reduces the risk of rejection. It is suggested that the level of creatinine in patients with conditions such as blood transfusion or kidney transplantation and pre-transplant dialysis should be considered and checked in shorter times and drugs used to reduce creatinine

Teachers of exceptional schools due to the problems of students, need to improve the positive psychological characteristics, in particular mental well-being. The aim of this study was to predict subjective well-Being based on health promoting lifestyle, work-family conflict and job satisfaction among exceptional school teachers. This study was a descriptive-correlational study. The research population was all teachers of Ahwaz exceptional schools in 2012-2012. 120 of them were selected by cluster sampling method. Data were collected by "Subjective Well-being Questionnaire", "Health-Promoting Lifestyle Profile", "Work-Family Conflict Questionnaire", and "Job Satisfaction Questionnaire”. Data was analyzed by SPSS.19. Health promotion lifestyle (r = 0.476) and job satisfaction (r = 0.263) had a positive and significant correlation with mental well-being. On the other hand, the conflict of work-family (r = -0.301) correlated negatively with mental well-being. Also, health promotion lifestyle variables, work-family conflict and job satisfaction were able to predict 32.6% of the changes in subjective well-being of teachers of exceptional schools. In this prediction, the share of lifestyle enhancing health was higher than other variables (P < 0.01). The results indicated the importance of health promotion lifestyle, work-family conflict and job satisfaction in predicting subjective well-being of teachers of exceptional schools. Therefore, it is recommended that counselors, clinical psychologists and therapists improve the mental health of teachers of exceptional schools by improving their lifestyles, improving their health and job satisfaction and reducing work-family conflicts

Cancer disease requires additional treatments such as chemotherapy. Chemotherapy has many effects on executive functions. The aim of this study was to determine the effect of cognitive rehabilitation on the working memory of women with breast cancer under chemotherapy. This is a semi-experimental study with control group, pre-test, post-test and random appointment to the experimental and control group. The statistical population of the study consisted of women with breast cancer under the chemotherapy in Tehran. Among them, 30 samples were targeted and among those with breast cancer who were referred to hospitals of Shahdai Tajrish and Imam Khomeini hospitals in Tehran were chosen. Cognitive rehabilitation was performed using "Attentive Rehabilitation of Attention and Memory" software and N-Back Test was used to collect data. Validity and reliability of this instrument were reviewed and approved in previous studies. Data were analyzed using SPSS. 23. The correct component score of the active memory variable of the experimental group in the post-test (20.00 ± 2.92) was increased compared to the pre-test (15.85 ± 1.47) and the component of the total time in the post-test (99.31 ± 32.92) compared to the pre-test (161.93 ± 47.00). Also, the significant improvement in the correct response component (F = 307.6, P < 0.05) and total time (F = 90.49, P < 0.05) were the active memory of the women in the experimental group compared to the control group. Using cognitive rehabilitation program reduces the working memory of women with breast cancer under chemotherapy. Therefore, health professionals can use low cost and useful therapies such as cognitive rehabilitation to reduce the problems associated with chemotherapy

Productivity of manufacturing systems is one of the important components in manufacturing organizations. The aim of this study is to determine the correlation between managers' independence and control of strategy with the productivity of manufacturing systems by mediating organizational policies in Urmia manufacturing organizations. In this descriptive-correlational study, the statistical population consisted of 150 employees of manufacturing organizations. Regarding the total number of statistical population and according to the Morgan table, 108 participants were selected as the minimum statistical sample selected by simple random sampling. The data collection instruments include the “Steven & Brent Organizational Policies Questionnaire”, “Hensey Strategy Control Inventory “and" Weinrauch et al’s Productivity Questionnaire”. Validity and reliability of all three instruments were confirmed using content validity index and Cronbach's Alpha. Data analysis was done with SPSS. 25, Laser Light 8 and Smart Plus 2. Between organizational policies and productivity of manufacturing systems with a correlation coefficient of 0.719, there was a significant difference between managers' independence and organizational policies with a correlation coefficient of 0.262 and between strategy control and organizational policies with a correlation coefficient of 0.557 at a significant level. On the other hand, the coefficient of determination for the productivity of manufacturing systems is equal to 51.07. Therefore, the variable of direct organizational policies, control of strategies and independence of managers through the intermediary variable (organizational policies) have been able to explain 51.7% of the changes in the productivity of manufacturing systems. Organizational policies have a direct correlation with the productivity of manufacturing systems, strategy control, and the independence of managers. Therefore, it is recommended that authorities consider the effectiveness of policies for the effective control of strategies and the independence of managers in order to promote the productivity of manufacturing systems

Any organization needs a human assessment to improve its performance and accountability to its audience. This study was conducted to determine the correlation between self-assessment and knowledge management in staff of Shahid Beheshti University of Medical Sciences in Tehran. The present study is descriptive-correlational. The statistical population of the study was Shahid Beheshti University of Medical Sciences staffed 1064 people. The population of the present study was selected by using Cochran's formula of 282 people by simple random sampling. Out of 282 distributed questionnaires, 256 questionnaires were completed. To collect data the “Organizational Excellence Model Criteria Questionnaire” (EFQM) and "Hemmati Knowledge Management Questionnaire” were used. The reliability of the questionnaires was obtained through Cronbach's alpha, 0.93 and 0.92. Data were analyzed using SPSS.24. The highest correlation was found between the dimensions of self-assessment and knowledge management regarding community outcomes (r = 0.86) and also the highest correlation between knowledge management dimensions and self-assessment of knowledge society (r = 0.73) (P < 0.05) There is a significant correlation between self-assessment dimensions and knowledge management. It is suggested that the strengths and weaknesses of the organization in this field should be identified for the organization's excellence and training courses should be held in the areas of self-assessment and knowledge management for staff.

One of the areas where women who suffer from contracting a spouse need help in their own health is to strengthen the ability of interpersonal forgiveness. The aim of this study was to determine the effect of “Forgiveness Based Mindfulness Therapy” and “Emotionally Focused Therapy” on forgiveness of women who damaged by their husbands' infidelity. The research method was semi-experimental and three groups of two stages (pre-test and post-test). The statistical population of the study was women who damaged by husbands’ Infidelity Isfahan, among whom 45 were selected on purpose basis based on entry criteria and randomly assigned to two groups (15 subjects per group) and control group (n = 15).“Forgiveness Scale” (FS) was used to measure the variables of the research in the pretest and posttest phases. The group “Forgiveness Based Mindfulness Therapy “received 11 sessions and the “Emotionally Focused Therapy”received9 sessions of treatment and control group received no treatment. The data were analyzed with SPSS. 20. Forgiveness and its two components (lack of negative emotions and positive emotions) were significantly different between the experimental and control groups in the post-test (P<0.01).But there was no significant difference between the two groups, of treatments. “Forgiveness Based Mindfulness Therapy" and “Emotionally Focused Therapy “are successful ways to promote forgiveness for women suffered by husbands’ infidelity. Therefore, it is recommended that these two treatments be used to increase forgiveness and eliminate psychological problems in this group of women

Satisfaction with marital life is one of the most important concepts related to marital life of couples and is influenced by many factors. The purpose of this study was to determine the correlation between couples' mutuality afflicted to conflict with marital satisfaction and the mediating role of life quality. The research method was descriptive-correlational. The statistical population consisted of all conflicting couples referring to counseling centers in Bandar Abbas in 2017. From the statistical population, 380 couples (760 men and women) were selected using convenience sampling method.
The instrument of measurement was the three “Iranian Couples Intellectual Mutuality and Coordination Questionnaire”, “World Health Organization Quality of Life Questionnaire”, “Kansas Marital Satisfaction Scale”. Validity and reliability of instruments have been confirmed in previous studies. The data were analyzed by statistical tests and structural equation modeling approach using SPSS.23 and AMOSS version 20. In the structural equation model, the relationships between the variables were acceptable and all the research hypotheses were approved. The correlation between the level of mutuality with quality of life (β = 0.41, P = 0.005), correlation between marital satisfaction (P = 0.54, P = 0.004) and correlation between quality of life and marital satisfaction (β = 0.34, P = 0.002). The level of mutuality of conflicting couples is directly and indirectly correlated with quality of life with marital satisfaction. Therefore, it is suggested that before marriage, training is needed for intellectual similarities for couples.